Healthcare for undocumented immigrant.
Use four articles provided.
Therapeutic Communication
Therapeutic communication is the foundation of mental health nursing. It is how mental health nurses build therapeutic rapport. Watch the video below and answer each question that follows it.
https://youtu.be/W1RY_72O_LQ
1.) What forms of verbal and nonverbal communication did the nurse use incorrectly?
2.) What would you do differently?
3.) How does therapeutic communication affect patient care?
APA format, use scholarly article and follow the attached rubric.
Physiology and Pharmacology (Due 24 hours)
1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
Part 1: Minimum 3 pages
Part 2: minimum 3 pages
Part 3: minimum 2 pages
Submit 1 document per part
2)¨******APA norms
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 4 references per part not older than 5 years
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1: Physiology
The purpose of the case study is to have you expand upon the pathophysiological disease process by searching for evidence-based practice treatment and advanced practice nursing role implications related to the disease.
Topic: Hypertension
1. Discuss how the patient’s lifestyle and environment impacts the disease process.
2. Identify evidence-based pharmacologic and non-pharmacologic interventions appropriate for the selected disease process.
3. Identify evidence-based treatment guidelines for the selected processes.
4. Analyze current evidence-based treatment modalities specific to the aging population
a. Include evidence-based treatment guidelines for the selected processes.
5. A discussion of the pathophysiology of the disease, including signs and symptoms.
6. An explanation of diagnostic testing and rationales for each.
7. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.
8. How does the information in this case inform the practice of a master’s prepared nurse?
9. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?
10 . What was the most important information presented in this case?
11. What was the most confusing or challenging information presented in this case?
12. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.
Part 2: Medication Paper Rough Draft – Ubrelvy (See paper outline attached)
The purpose of this assignment is to draft and submit a comprehensive and complete rough draft of your medication paper in APA format.
Your rough draft should include all of the research paper elements of a final draft.
Include the following in your rough draft:
1. Abstract
2. Introduction
3. Development the Headings in the outline (see file attached)
4. Conclusion
Part 3: Financing Health Care
Topic: The promise of guaranteed health care coverage for all.
position: CON/AGAINST
Refute the following opinions (Half a page for each point):
1. A choice for a Health Care System on the resolution would be a shared public taxes where everyone is equal.
2. Need for primary care physicians to be increased because of the uneven ratio of them and patients.
3.Having health care coverage will encourage people to look for medical attention when they need it.
4. The requirement for the people can access to health care free is to fulfill the requirements such as annual check-ups and up-to-date immunizations.
Evidence Base in Design
When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:
1). ZERO (0) PLAGIARISM
2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS
3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS.
Thank you.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
To Prepare:
Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
Review the health policy you identified and reflect on the background and development of this health policy.
Write a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
Response to a discussion post. Advanced Health Assessment
Reading Assignment
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 1, “The History and Interviewing Process”This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
Chapter 5, “Recording Information”This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.
Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)
Shadow Health Support and Orientation Resources
Use the following resources to guide you through your Shadow Health orientation as well as other support resources:
Document: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)
Document: Shadow Health Nursing Documentation Tutorial (Word document)
Optional Resource
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw- Hill Medical.
Chapter 2, “History Taking and the Medical Record” (pp. 15–33)
Required Media (click to expand/reduce)
Discussion: Building a Health History
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.
For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.
To prepare:
With the information presented in Chapter 1 of Ball et al. in mind, consider the following:
- By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
- How would your communication and interview techniques for building a health history differ with each patient?
- How might you target your questions for building a health history based on the patient’s social determinants of health?
- What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
- Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
- Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
- Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
Case Study
16-year-old white pregnant female living in an inner-city neighborhood
- How would your communication and interview techniques for building a health history differ with each patient?
The interview process has to be adjusted pending on the age group, gender, financial status, culture, and language barrier of the individual being assessed. One must provide a private area and be close to the patient during the interview to provide comfort. Use of laymen’s terms helps the individual to understand healthcare information clearly. Making eye contact is especially important unless there is a cultural factor involved. Taking notes should be minimal and if using a computer; it should be positioned so the patient can see the screen as well. Introduce one’s self to the patient and others present and use their names to build a friendly trustworthy environment.
reluctant to talk and have a clear need for confidentiality (Stewart, 2019).
When speaking with my adolescent patient I would emphasize that our discussion is confidential with limitations if there is a danger to her or others. We will speak privately unless she wants someone else present. She will be given the opportunity to discuss whatever topics she feels comfortable discussing.
- How might you target your questions for building a health history based on the patient’s social determinants of health?
There are several areas to concentrate on to build a history based on social determinants of health. One should enquire about the individual’s personal status, sexual history, living conditions, occupation, environment, military record, and social needs.
According to the information provided my patient lives in an inner city neighborhood. This may be an indication of poverty and limited resources. One would inquire if housing, clothing, food, and access to medical care are adequate. If they are not, community resource information would be provided and a social worker referral to aide her. Also, one must ascertain if she is in an abusive relationship or being abused at home.
- What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Assessing an individual’s health risks is very important in determining what potential health problems one may face. “One of the main goals of documenting the social history (SH) of the patient is to identify factors outside of past or current medical conditions that may influence the patient’s overall health or behaviors that create risk factors for specific conditions” (Sullivan, 2018). Asking what their eating habits are, do they exercise, how much alcohol do they consume, do they smoke cigarettes, do they use recreational drugs, what are their sleeping habits, do they take their medications as prescribed, do they practice unsafe sex, and what is their family history of medical problems. Also, inquiring about their family history of mental illness is important. Religion and culture can affect how the individual’s treatment plan will be developed.
One would obtain the young lady’s family health history at this time to determine if she is at risk for familial issues during her pregnancy. This would be a great opportunity to provide prenatal education and stress the importance of continuity of care during pregnancy.
- Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
Adolescent girls are more likely to die during childbirth than women in their twenties or older. If a pregnancy is unplanned, the mother may not be getting the prenatal care she and her baby need or may not even be healthy enough to carry a child to term.
- Teens are often unprepared for the realities involved in parenting an infant. Often, complex relationships and financial burden combined with balancing school and parenting are stressful and can put a newborn at risk.
- Teens who are pregnant or raising a baby have a hard time finishing school. Only 3 percent of teens who have a baby receive their college diploma before the age of 30.
- Many teen parents are single. Being a single parent can have financial and emotional stressors and a stressed parent puts a baby at risk.
- Parents often need resources to help them navigate their child’s well-being and development. Teens may not be aware of this type of assistance. (Heuristic, 2016)
References
Heuristic. (2016). Risks of Teen Pregnancy. Retrieved from: (nationwidechildrens.org)
Stewart, B.S.J.B.J.F.J.D. R. (2019) Seidel’s Guide to Physical Examination. [VitalSource
Bookshelf]. Retrieved from https://bookshelf.vitalsource.com/#/books/9780323481953/
Sullivan, D. D. (2018). Guide to Clinical Documentation. [VitalSource Bookshelf]. Retrieved
from https://bookshelf.vitalsource.com/#/books/9780803694194/
Photo Credit: Getty Images/Caiaimage
follow up discussion
Follow up discussion please one paragraph using same resource 2 citation and reference add information or comment on the following post
A systemic review of literature is a structured and well-guided search for available literature that have been reviewed, free of bias, and can be recommended for practice. (Houser, 2016). According to Houser (2016), conducting a systematic review that results in an evidence-based practice guideline requires the ability to develop research questions methodically, write inclusion criteria, conduct in-depth literature searches, and review the results of many studies critically (p.10). It is therefore important for a nurse to be well knowledgeable about ways to identify and review articles that are evidence-based and can be safely implemented during patient care. Below are some of the importance of systemic review literature stated by Boren and Moxley (2015)
- It prevents personal options and bias that may result in patient harm
- A reviewed literature provides the opportunity for continuous study and improvement.
- A systematic review draws upon the best health services research principles and methods to address specific medical issues.
- Gives researchers the opportunity to examine current practices
- Helps with the development of guidelines for practice and work-related policies
References
Boren, S. A., & Moxley, D. (2015). Systematically Reviewing the Literature: Building the Evidence for Health Care Quality. Missouri Medicine, 112(1), 58–62.
Houser, J. (2016). Nursing research: Reading, using and creating Evidence. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9781284138887/
Evidence-Based Project, Part 1: Identifying Research Methodologies
PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:
1). ZERO (0) PLAGIARISM
2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS
3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS.
Thank you.
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.
Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.
Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:
- Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
- Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
- Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
- Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:
- The full citation of each peer-reviewed article in APA format.
- A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
- A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
- A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
- A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
Pharm
When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
• Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
• Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
• Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
• Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1
Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.
psychotherapy with individual
To prepare:·
- Download and review the Week 10: Case Study from this week’s Learning Resources.
- Review this week’s Learning Resources and reflect on the insights they provide.
By Day 3
Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:
- Which diagnosis should be considered?
- What is the DSM-V Coding for the diagnosis you are considering?
- What is your rationale for the diagnosis? Be sure and link the client’s signs and symptoms to the DSM-V diagnostic criteria to support your diagnosis.
- What tests or tools should be considered to help identify the correct diagnosis?
- What differential diagnosis should be considered?
- What Treatment Strategy would you recommend?
- What treatment would you prescribe and what is the rationale?
- Safety
- Psychopharmacology
- Diagnostic Tests
- Psychotherapy
- Psychoeducation
- What standard guidelines would you use to treat or assess this patient?
- Clinical Note: Is depression a normal part of aging?
persuasive speech outline draft
When creating your persuasive speech rough draft outline, please be sure to follow the format of the speech outline example that is included in the directions. Be sure to use Roman numerals for each main point and capital letters, lowercase letters, and numbers for sub-points and sub-sub-points
The post should be written in outline form. To prepare the Persuasive outline, use the full-sentence outline method. The outline should have enough content in order to deliver an 8-10 minute persuasive speech. The outline should include the following:
- Specific Purpose
- Central Idea (aka: Thesis Statement or Preview Statement)
- Introduction – capture attention, establish YOUR speaker credibility, preview the speech
- Body – key points (minimum of 3), transitions between main points, supporting materials from at least 3 sources including in-text references to the sources.
- Conclusion – signal the end, summarize main points
- Researched supporting material references (minimum 3) – include a works cited at the end of your outline, use APA format.
- Identification of a presentation aid (visual)
- Use persuasive techniques and language
Please be sure to validate your opinions and ideas with in-text citations and references in APA format.